Individual
GENEVIEVE L HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1132 N MAIN ST, ALTUS, OK 73521-3122
(580) 477-1316
(580) 477-2154
Mailing address
1132 N MAIN ST, ALTUS, OK 73521-3122
(580) 477-1316
(580) 477-2154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14005
OK
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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